My T has no qualms about my ever needing to seem him more frequently; I don't have to ask for permission or anything. But when it comes to spreading things out, he does like to discuss it just to be sure we're on the same page. It isn't so much about him not thinking I'm ready as much as it does seem to indicate a shift in our therapy relationship a bit. We always try to discuss these changes early enough in a session that everything can be clarified before I leave, but the decision he leaves ultimately and completely up to me (unless he clearly thinks I'm clearly out of my right mind which really hasn't been the case). He just feels most comfortable knowing a bit ahead of time what I am planning/thinking rather than it just happening without discussion (even though the discussion is generally fairly brief). It's just a bit of caution and double checking on his part I think. He just likes to be kept in the loop.